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January 28, 2022

If it is stated in a patient’s chart that they are in remission for either drugs or alcohol and there is no signs that there is still ongoing abuse, would you pick up either as an pre-existing condition?

There is no time limitation in the definition; therefore, if there is documentation the patient had substance use disorder at any time you must report the Hospital Event Substance Use Disorder. This is true even if there is documentation the patient is in remission.

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